Impact of Poor Oral Health on Children's School Attendance and Performance

Jackson, Stephanie; Vann, William F.; Kotch, Jonathan B.; Pahel, Bhavna T.; Lee, Jessica Y.

doi:10.2105/ajph.2010.200915

Cited by 418 publications

(404 citation statements)

References 21 publications

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“…Dental caries are 5 times more prevalent than asthma among children ages 5 to 17 years, 1 lowincome children are at a particularly high risk of poor oral health, [1][2][3][4] and poor oral health is associated with chronic pain and diminished quality of life. [5][6][7] Untreated dental caries can result in complications leading to emergency department (ED) visits for pediatric dental care and inpatient admissions. 8 Conventional wisdom among the dental and public health communities presumes that preventive dental care is "the cornerstone of optimal oral health promotion," 9 that such preventive dental care is cost-effective, 10 and that timely preventive and restorative services can reduce the need for the considerably more expensive ED or inpatient treatment of dental problems.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures

et al. 2013

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BACKGROUND AND OBJECTIVE: Although preventive dental visits are considered important for maintaining pediatric oral health, there is relatively little research showing that they reduce subsequent nonpreventive dental visits or costs. At least 1 study seemed to find that early preventive dental care is associated with more restorative and emergency visits. Previous studies are limited by their inability to account for unmeasurable factors that may lead children to “select” into using both more preventive and nonpreventive dental care. We used econometric techniques that minimize selection bias to assess the effectiveness of preventive dental care in reducing subsequent nonpreventive dental service utilization among children. METHODS: Using data from Alabama’s Children’s Health Insurance Program (CHIP), 1998–2010., a cohort study of children’s dental service utilization was conducted. Outcomes were 1-year lagged nonpreventive dental care and expenditures, and overall dental and medical expenditures. Children who were continuously enrolled for at least 3 years were included. Separate models were estimated for children aged <8 years (n = 14 972) and those aged ≥8 years (n = 21 833). RESULTS: More preventive visits were associated with fewer subsequent nonpreventive dental visits and lower nonpreventive dental expenditures for both groups. However, more preventive visits did not reduce overall dental or medical (inclusive of dental) expenditures. CONCLUSIONS: Preventive dental visits can reduce subsequent nonpreventive visits and expenditures for children continuously enrolled in CHIP. However, they may not reduce overall program costs. Effective empirical research in this area must continue to address unobserved confounders and selection issues.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures

et al. 2013

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“…Approximately 16% of children living in poverty were reported by a parent to have had a toothache within the last 6 months (3). A recent multivariate analysis also found that children with poor oral health miss more school days and receive lower grades than children with good oral health (4).…”

Section: Introductionmentioning

confidence: 99%

Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Griffin¹,

Liang²,

Gooch³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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Background: Tooth decay is one of the greatest unmet treatment needs among children. Pain and suffering associated with untreated dental disease can lead to problems with eating, speaking, and learning. School-based dental sealant programs (SBSP) deliver a highly effective intervention to prevent tooth decay in children who might not receive regular dental care. SBSPs benefits exceed their costs when they target children at high risk for tooth decay.Methods: CDC used data from the National Health and Nutrition Examination Survey (NHANES) 2011-2014 to estimate current prevalences of sealant use and untreated tooth decay among low-income (≤185% of federal poverty level) and higher-income children aged 6-11 years and compared these estimates with 1999-2004 NHANES data. The mean number of decayed and filled first molars (DFFM) was estimated for children with and without sealants. Averted tooth decay resulting from increasing sealant use prevalence was also estimated. All reported differences are significant at p<0.05. From 1999From -2004From to 2011From -2014, among low-and higher-income children, sealant use prevalence increased by 16.2 and 8.8 percentage points to 38.7% and 47.8%, respectively. Among low-income children aged 7-11 years, the mean DFFM was almost three times higher among children without sealants (0.82) than among children with sealants. Approximately 6.5 million low-income children could potentially benefit from the delivery of sealants through SBSP. Results: Conclusions and Implications for Public Health Practice:The prevalence of dental sealant use has increased; however, most children have not received sealants. Increasing sealant use prevalence could substantially reduce untreated decay, associated problems, and dental treatment costs.

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“…Poor oral health affects quality of life as a result of pain or discomfort, tooth loss, impaired oral functioning, disfigurement, missing school time, loss of work hours and even death (in the case of oral cancers). Oral health also has an effect on many chronic diseases (2)(3)(4)(5). Although oral health in many countries has improved considerably in recent decades, with a declining trend of dental caries, it appears to be showing a rising trend, especially in developing countries, thus widening inequities in oral health (6)(7)(8) Reducing such inequalities in health has become a major focus for government health policy (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Self-perception of personal oral health in Saudi population: a social media approach

Alshahrani

Tikare

Togoo

et al. 2015

Easter Mediterr Health J

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Subjective perceptions and perceived needs for dental care in a population can provide important information for policy-makers. This study aimed to assess self-perceived personal oral health status among the Saudi Arabia population who could be accessed through social media. A pre-tested questionnaire for completion online was designed to assess self-perceived oral health via 13 items in 4 domains with weighted scores from 1-3. The questionnaire was uploaded to the Internet and the link to it was made available through popular social networking sites in Saudi Arabia. With respondents recruited by snowball methods a total of 4618 people (57.2% males, 42.8% females) completed the questionnaire. The total mean score for the participants was 23.0 (SD 5.0) (scale range 13-39). Self-perceived oral health was rated as poor by 24.2% of respondents, average by 50.6% and good by 25.2%. Educational level, age and region but not sex were significantly associated with self-perceived oral health. ‫ـم.‬ ‫الفـ‬ ‫ـة‬ ‫لصحـ‬ ‫ـذايت‬ ‫الـ‬ ‫ـور‬ ‫التصـ‬ ‫ـع‬ ‫مـ‬ -‫ـري‬ ‫كبـ‬ ‫ـكل‬ ‫بشـ‬ -‫ـني‬ ‫مرتبطـ‬ ‫ـوع)‬ ‫النـ‬ ‫ـس‬ ‫(وليـ‬ Auto-perception de la santé bucco-dentaire personnelle dans la population saoudienne : approche par les médias sociaux RÉSUMÉ Les perceptions subjectives et les besoins perçus en matière de soins bucco-dentaires dans une population peuvent fournir des informations importantes pour les responsables de l'élaboration des politiques. La présente étude visait à évaluer l'état de santé bucco-dentaire perçue par l'individu dans la population saoudienne utilisant les médias sociaux. Un questionnaire préalablement testé et destiné à être rempli en ligne a été élaboré pour l'évaluation de la santé bucco-dentaire perçue par l'individu, au moyen de 13 items dans quatre domaines ayant des scores pondérés compris entre 1 et 3. Le questionnaire a été mis en ligne et le lien a été rendu accessible sur des sites de réseaux sociaux populaires en Arabie saoudite. Grâce à l'effet d'entraînement pour recruter les répondants, 4 618 personnes (57,2 % d'hommes, 42,8 % de femmes) au total ont rempli le questionnaire. Le score moyen total des participants était de 23,0 (ET 5,0) (extrêmes : 13-39). La santé bucco-dentaire a été auto-évaluée comme mauvaise par 24,2 % des répondants, comme moyenne par 50,6 % et comme bonne par 25,2 %. Le niveau d'études, l'âge et la région étaient significativement associés à l'état de santé bucco-dentaire perçu par l'individu, mais pas le sexe.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫العرشون‬ ‫و‬ ‫احلادي‬ ‫املجلد‬ ‫اخلامس‬ ‫العدد‬ 343

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Impact of Poor Oral Health on Children's School Attendance and Performance

Abstract: Children with poorer oral health status were more likely to experience dental pain, miss school, and perform poorly in school. These findings suggest that improving children's oral health status may be a vehicle to enhancing their educational experience.

Cited by 418 publications

References 21 publications

Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures

Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures

Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Self-perception of personal oral health in Saudi population: a social media approach

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